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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(02): e226-e233
DOI: 10.1055/s-0043-1776730
Original Research

Prognostic Value of Polypoid Changes of the Middle Turbinate in Relapsed Nasal Polypi after FESS: A Prospective Cohort Study

Alaa Mohamed Abdelsamie 
1   Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt
,
Hossam Mohamed Abdelazeem
1   Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt
,
Gena Kerollos Dawood
1   Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt
,
Taha Mohamed Abdelaal 
1   Department of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt
› Institutsangaben
Funding The authors declare that they have received no financial support for conduction of the present research.
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Abstract

Introduction Despite the high level of patient satisfaction with functional endoscopic sinus surgery (FESS) and the clinical improvement, polyp recurrence is observed in 23% to 87% of patients and requires reoperation.

Objective To assess the prognostic value of polypoid changes of the middle turbinate (PCMT) in relapse of paranasal sinus polyps in patients with chronic rhinosinusitis with nasal polyp (CRSwNP) after FESS and the effect of partial middle turbinectomy (PMT) on the outcome of surgery.

Methods We conducted a prospective clinical study on 60 patients with CRSwNP with and without PCMT. The patients were allocated into three groups: group I included twenty patients without PCMT; group II, twenty patients with PCMT; and group III included twenty patients with PCMT submitted to PMT. The patients were evaluated endoscopically according to the Lund-Kennedy endoscopic scoring system, radiologically according to the Lund-Mackay scoring system, and symptomatically through the 22-item Sinonasal Outcome Test (SNOT-22).

Results The total postoperative Lund-Kennedy score differed significantly among the 3 groups (p < 0.001), with a group II presenting a significantly higher total score compared to groups I and III. The Preoperative SNOT-22 score differed significantly among the three groups (p = 0.013), with group II presenting a significantly higher score compared to group I. There was a significant association involving the 3 groups and relapse at 12 months (p = 0.029); relapse was higher in group II (50.0%) than in groups I (20%) and III (15.0%).

Conclusion There was a significant association between PCMT and the relapse of nasal polyps. Also, nasal polyposis recurred at a lower rate in the group submitted to middle turbinate resection compared to the group in whom it was preserved.

Keywords

allergic rhinitis - chronic rhinosinusitis - nasal endoscopy - nasal polyposis - nasal turbinate

Ethical Considerations

- Ethics approval and consent to participate: The institutional Ethics in Research Committee approved the present study (under number MS 17–9-2020), and informed consent had been obtained even before the study had been approved.




Publikationsverlauf

Eingereicht: 23. Dezember 2022

Angenommen: 08. Juni 2023

Artikel online veröffentlicht:
29. November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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